High Eye Pressure, Headaches, and Fatigue After Antibiotic Use - Family Medicine

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Elevated intraocular pressure, headache, nausea, and lethargy?


Hello, doctor.
Last month, I had a cold in North America and experienced a fever of 39 degrees Celsius for more than two days.
I visited a local clinic and was prescribed the antibiotic Amoxicillin 500 mg, which I took for a total of 10 days (30 pills).
However, even after a month, I still occasionally experience nausea, increased intracranial pressure and eye pressure, headaches, and fatigue, although these symptoms are irregular.
Could this be a side effect of the antibiotic, or could there be other possibilities? Thank you!

Lü, 20~29 year old female. Ask Date: 2016/03/25

Dr. Chen Zonglin reply Family Medicine


The amount of antibiotics remaining in the body after one month is generally very low, so it is unlikely to be related to your symptoms.
Regarding the symptoms you mentioned, including elevated intracranial pressure and ocular pressure, how did you come to know about this? If such a condition truly exists, it is advisable to seek medical attention, as it may help alleviate the accompanying symptoms.

Reply Date: 2016/03/25

More Info


Understanding the relationship between high eye pressure, headaches, and fatigue after antibiotic use, particularly with Amoxicillin, involves a multifaceted approach that considers various factors, including the pharmacological effects of the medication, the underlying health conditions, and potential side effects.

Firstly, it's important to clarify that Amoxicillin is a commonly prescribed antibiotic used to treat bacterial infections. It is generally well-tolerated, and serious side effects are rare. After completing a course of antibiotics, it is not typical for patients to experience prolonged symptoms such as nausea, headaches, or fatigue directly attributable to the antibiotic itself. The body usually clears the antibiotic from the system within a few days after the last dose, so lingering symptoms may suggest other underlying issues.

In your case, the symptoms of nausea, headaches, and fatigue could be due to several factors:
1. Post-Viral Fatigue: After a viral infection, such as the one that caused your fever, it is common for individuals to experience fatigue and malaise for weeks or even months. This condition, often referred to as post-viral fatigue, can lead to feelings of exhaustion and general unwellness.

2. Dehydration and Electrolyte Imbalance: High fever can lead to dehydration, which may cause headaches and fatigue. If you did not maintain adequate fluid intake during your illness, this could contribute to your current symptoms.

3. Increased Eye Pressure: You mentioned experiencing high eye pressure. Elevated intraocular pressure (IOP) can lead to headaches and discomfort. It is crucial to monitor your eye pressure, especially if you have a history of glaucoma or other eye conditions. High IOP can result in optic nerve damage if left untreated, leading to vision loss.

4. Medication Side Effects: While Amoxicillin is not typically associated with increased eye pressure, other medications or combinations of medications you may be taking could contribute to this issue. For instance, certain antihistamines or decongestants can lead to increased eye pressure as a side effect.

5. Anxiety and Stress: If you have a history of anxiety or panic disorders, the stress of being ill and the subsequent worry about your health could exacerbate feelings of fatigue and headaches. Anxiety can also manifest physically, leading to tension headaches and fatigue.

Given these considerations, it is advisable to consult with a healthcare professional to evaluate your symptoms further. They may recommend:
- Eye Examination: A thorough eye exam to assess your intraocular pressure and check for any signs of glaucoma or other ocular conditions.

- Blood Tests: To rule out any underlying issues such as dehydration, electrolyte imbalances, or other metabolic concerns.

- Review of Medications: A review of all medications you are currently taking to identify any potential interactions or side effects that could be contributing to your symptoms.

In summary, while it is unlikely that Amoxicillin is the direct cause of your ongoing symptoms, it is essential to investigate other potential factors. Monitoring your eye pressure and addressing any underlying health issues will be crucial in managing your symptoms effectively. If your symptoms persist or worsen, seeking medical attention is imperative to ensure proper diagnosis and treatment.

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